Fairview Clinics
Fairview Clinics was paid $1.11M by Medicaid between Jan 2018 and Dec 2020, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
MINNEAPOLIS, MN 55454
Next to other Clinic/Center providers in Minnesota
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 10,330 | $157K | |
| 2019 | 8,821 | $494K | |
| 2020 | 8,345 | $464K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 47% | 10,208 | 7,921 | $524K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 17% | 988 | 875 | $187K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 16% | 3,410 | 2,749 | $178K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 7.1% | 3,253 | 2,556 | $79K |
| 80306 | 5.4% | 5,473 | 4,474 | $60K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.6% | 757 | 585 | $29K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 330 | 312 | $19K |
| 99442 | <1% | 355 | 211 | $8K | |
| 99443 | <1% | 220 | 138 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 383 | 368 | $4K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 50 | 49 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 41 | 38 | $3K |
20 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 32 | $3K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 36 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 160 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 962 | $2K |
| 90686 | <1% | 180 | $1K | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 133 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 102 | $755.44 |
| 90670 | <1% | 54 | $577.27 | |
| 99188 | <1% | 49 | $491.31 | |
| 80053 | Comprehensive metabolic panel | <1% | 89 | $486.15 |
| 90682 | <1% | 13 | $478.94 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 66 | $472.24 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 13 | $166.76 |
| 80061 | Lipid panel | <1% | 12 | $157.02 |
| 99000 | <1% | 13 | $144.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 12 | $90.16 |
| 96127 | <1% | 12 | $46.79 | |
| 98968 | <1% | 46 | $5.98 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 0% | 32 | $0.00 |
| 90698 | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Fairview Health Services | Minneapolis, MN | $90.41M |
| Fairview Health Services | Saint Paul, MN | $48.52M |
| Fairview Health Services | Burnsville, MN | $29.98M |
| Fairview Health Services | Minneapolis, MN | $26.56M |
| Healtheast ST. John's Hospital | Maplewood, MN | $17.91M |
| Fairview Health Services | Edina, MN | $17.24M |
| Healtheast Medical Research Institute | Saint Paul, MN | $11.37M |
| Fairview Clinics | Bloomington, MN | $9.40M |
| Fairview Health Services | Princeton, MN | $9.36M |
| Healtheast Medical Research Institute | Saint Paul, MN | $8.76M |
| Healtheast Medical Research Institute | Saint Paul, MN | $8.29M |
| Fairview Clinics | Brooklyn Park, MN | $8.06M |
| Fairview Health Services | Wyoming, MN | $7.71M |
| Healtheast Medical Research Institute | Maplewood, MN | $7.44M |
| Healtheast Woodwinds Hospital | Woodbury, MN | $6.17M |
| Fairview Clinics | Burnsville, MN | $4.75M |
| Fairview Clinics | Minneapolis, MN | $4.75M |
| Fairview Express Care | Saint Paul, MN | $4.57M |
| Fairview Clinics | Saint Paul, MN | $4.37M |
| Healtheast Medical Research Institute | Woodbury, MN | $4.07M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.